raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:216873

Atypical pantothenate kinase-associated neurodegeneration

Synonyms: NBIA1, atypical form · Neurodegeneration with brain iron accumulation type 1, atypical form · PKAN, atypical form

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Adult, Childhood
Status
active

A rare neurodegenerative disorder characterized by adolescent to adult-onset of slowly progressive dystonia, dysarthria, neuropsychiatric changes, parkinsonism and abnormal iron accumulation in the globus pallidus and substantia nigra with a characteristic eye-of-the-tiger sign on T2-weighted MRI. Atypical pantothenate kinase-associated neurodegeneration (PKAN) has later onset and slower progression than classic PKAN and accounts for about 25% of cases.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAtypical pantothenate kinase-associated neurodegenerationNBIA1, atypical form · Neurodegeneration with brain iron accumulation type 1, atypical form · PKAN, atypical form
frNeurodégénérescence par déficit en pantothénate kinase, forme atypiqueNBIA1, forme atypique · Neurodégénérescence avec surcharge cérébrale en fer type 1, forme atypique · PKAN, forme atypique
dePantothenat-Kinase-assoziierte Neurodegeneration, atypische FormNBIA1, atypische Form · Neurodegeneration mit Eisenspeicherung im Gehirn Typ 1, atypische Form · PKAN, atypische Form
esNeurodegeneración asociada a pantotenato quinasa, forma atípicaNBIA1, forma atípica · Neurodegeneración con acumulación de hierro en el cerebro tipo 1, forma atípica · PKAN, forma atípica
itNeurodegenerazione associata a deficit di pantotenato chinasi, forma atipicaNBIA1, forma atipica · Neurodegenerazione con accumulo cerebrale di ferro tipo 1, forma atipica · PKAN, forma atipica
nlAtypische pantothenaatkinasegeassocieerde neurodegeneratieNBIA1, atypische vorm · Neurodegeneratie met ijzeropstapeling in de hersenen type 1, atypische vorm · PKAN, atypische vorm
ptNeurodegenerescência associada a pantotenato cinase atípica
plAtypowa neurodegeneracja związana z kinazą pantetonianuNBIA1, postać atypowa · Neurodegeneracja z gromadzeniem żelaza w mózgu typu 1, postać atypowa · PKAN, postać atypowa
csAtypická neurodegenerace asociovaná s pantotenát-kinázouNBIA1, atypická forma · Neurodegenerace s akumulací železa v mozku, typ 1, atypická forma · PKAN, atypická forma
ukАтипова пантотенаткіназа-асоційована нейродегенераціяNBIA1, атипова форма · Нейродегенерація з накопиченням заліза в мозку, тип 1, атипова форма · PKAN, атипова форма
zh非典型泛酸激酶相关神经变性非典型神经变性疾病伴脑铁积聚1型
trAtipik pantotenat kinaz -ilişkili nörodejenerasyonPKAN, atipik form · NBIA1, atipik form · Beyin demir birikimi tip 1 ile seyreden nörodejenerasyon, atipik form
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Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM234200NTBTvalidated
ICD-10G23.0NTBTattributedvalidated
ICD-115C64.10NTBTindexvalidated
MONDO0016305Evalidated
UMLSC5568621Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PANK2Disease-causing germline mutation(s) inAssessedHGNC:15894ENSG0000012577960615720p13pantothenate kinase 2
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Prevalence and incidence

0 records

No prevalence record in this release.

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HPO phenotypes

30 annotations · validated 2018-03-12
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000716Depression
HP:0001260Dysarthria
HP:0000712Emotional lability
HP:0004373Focal dystonia
HP:0001347Hyperreflexia
HP:0100710Impulsivity
HP:0000737Irritability
HP:0002451Limb dystonia
HP:0001300Parkinsonism
HP:0002063Rigidity
HP:0001257Spasticity
HP:0002493Upper motor neuron dysfunction
HP:0008760Violent behavior
Occasional (29-5%)
HP:0007256Abnormal pyramidal sign
HP:0002167Abnormality of speech or vocalization
HP:0002072Chorea
HP:0100543Cognitive impairment
HP:0000722Compulsive behaviors
HP:0002015Dysphagia
HP:0001288Gait disturbance
HP:0030216Inertia
HP:0012048Oromandibular dystonia
HP:0001337Tremor
Very rare (<4-1%)
HP:0000618Blindness
HP:0002312Clumsiness
HP:0002359Frequent falls
HP:0000648Optic atrophy
HP:0000709Psychosis
HP:0000488Retinopathy
HP:0012473Tongue atrophy

Annotation source: 20301663[PMID]

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Sources for this card